Individual
DERINEKIA ALBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4667 AIRLINE HWY, BATON ROUGE, LA 70805-1514
(225) 266-8956
Mailing address
4652 GLEN OAKS DR, BATON ROUGE, LA 70811-6023
(225) 266-8956
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
347E00000X
Transportation Broker
Primary
—
—
Other
Enumeration date
09/16/2014
Last updated
04/08/2016
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